About Chiropractic and Spinal Manipulation
Spinal Manipulation by a trained and licensed chiropractor can help to alleviate lower back pain by reducing muscle spasm, increasing circulation, and strengthening muscle function.
Therefore, Chiropractic manipulation techniques which stimulate intrinsic neurophysiologic pathways can be used in conjunction with Stem Cell Therapy to improve the overall effectiveness of the treatment of back pain, herniated disc pain, radiculopathy, and spinal stenosis.
Furthermore, Chiropractic care is continued after stem cell injections in order to rehabilitate the injured spine.
Scientific Research and Chiropractic Manipulation
Evidence based medicine has been used to review research studies, and generate practice guidelines. Many chiropractic practitioners now incorporate scientific research into their practice procedures. Multiple published studies have indicated effective neurophysiologic and sympathetic system responses to spinal mobilization.
In 2016, Lascurain-Aguirrebena et at all published a systematic review of the medical literature in the Journal Spine, documenting evidence that spinal mobilizations caused neurophysiologic effects resulting in hypoalgesia (local and/or distal to mobilization site), sympathoexcitation, and improved muscle function.
In 2014, Kingston et all published a systematic review of the literature documenting that evidence from this systematic review supports a sympathoexcitatory response to spinal mobilizations irrespective of the segment mobilized.
In 2008, Schmid et all published a systematic review which found consistency for concurrent hypoalgesia, sympathetic nervous system excitation and changes in motor function. This specific pattern suggested that descending pathways might play a key role in manual therapy.
As far back as 2002, Pickar published a review article in the Spine Journal indicating that an experimental body of evidence existed indicating that spinal manipulation impacts primary afferent neurons from paraspinal tissues, the motor control system and pain processing.
Detailed references for the above published medical studies are as follows:
- Lascurain-Aguirrebena L, Newham D, Critchley DJ. Mechanism of action of spinal mobilizations: a systematic review. Spine 2016 Jan: 41(2): 159-72.
- Kingston L, Claydon L, Tumilty S. The effects of spinal mobilizations on the sympathetic nervous system: a systematic review. Man Ther. 2014 Aug; 19(4): 281-7.
- Schmid A, Brunner F, Wright A, Bachmann LM. Paradigm shift in manual therapy? Evidence for a central nervous system component in response to passive cervical joint mobilization. Man Ther. 2008 Oct; 13(5): 387-96.
- Pickar JG. Neurophysiological effects of spinal manipulation. Spine J. 2002 Sep-Oct; 2(5): 357-71.